MEDICARE: TSUNIE CHANCHIEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D13339 MD	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	12109	OTHER	MD	CAREFIRST OF MARYLAND
3	01780001	OTHER	DC	CAREFIRST OF DC

General Provider Information

NPI Number	:	1861672305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TSUNIE CHANCHIEN M.D.

Provider Business Mailing Address
First Line	:	8824 CUNNINGHAM DR STE A
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2338
Country	:	US
Telephone Number	:	301-345-8616
Fax Number	:	301-345-2779

Provider Business Practice Location Address
First Line	:	8824 CUNNINGHAM DR STE A
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2338
Country	:	US
Telephone Number	:	301-345-8616
Fax Number	:	301-345-2779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2007
Last Update Date	:	09/09/2015

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Directions to “ TSUNIE CHANCHIEN M.D.” Practice Location

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